Individual provider · Type 1 NPI

Shannon Marie Matta, COTA

Occupational Therapy Assistant · Augusta, GA

NPI number 1376637074 Active

Practice location

1 Freedom Way
Augusta, GA 30904

Call (706) 733-0188 Map

Mailing address

4192 Quail Springs Circle
Martinez, GA 30907

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOTA000594 (GA)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1376637074

Shannon Marie Matta, COTA's National Provider Identifier is 1376637074, issued on Oct 3, 2006. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Augusta, GA. The record was last updated on Jul 8, 2007.